PUBLIX SUPER MARKETS INC (NPI# 1225436892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225436892 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0432 |
| Practice Address |
3251 Hollywood Blvd Hollywood FL 33021-6942 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 9549628401 |
| Practice Fax Number | 9544163164 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | DAIN RUSK (VP PHARMACY) |
| Authorized Official Telephone | 8636881188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH28755 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014176100 | 05 | |
| FL | 014176101 | 05 | |
| PK | 2149313 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0432 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753270 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 18320 Collins Ave, Sunny Isles Beach, FL 33160-2429 | 2018-06-07 |
| 1386147775 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 83268 Overseas Hwy, Islamorada, FL 33036-3511 | 2018-03-13 |
| 1043713746 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 5550 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4111 | 2018-03-09 |
| 1841791126 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 510 Ga Highway 247 S, Bonaire, GA 31005-3865 | 2018-02-22 |
| 1992206254 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 10015 N Dale Mabry Hwy, Tampa, FL 33618-4409 | 2018-02-22 |
| 1609375286 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 4701 S University Dr, Davie, FL 33328-3819 | 2018-02-08 |
| 1689186926 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 10450 Pines Blvd, Pembroke Pines, FL 33026-6044 | 2017-10-26 |
| 1902318231 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1430 Tiger Park Ln, Gulf Breeze, FL 32563-5718 | 2017-10-26 |
| 1750892683 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 8455 Nw 53rd Ter, Doral, FL 33166-4517 | 2017-10-18 |
| 1063941052 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1355 N Ferdon Blvd, Crestview, FL 32536-1713 | 2017-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Publix Super Markets Inc. | 15720 Brixham Hill Avenue #300, Charlotte, NC 28277-4651 |
| Street Address |
3251 HOLLYWOOD BLVD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073557054 | Alexandra Dunn | Audiologist | 3251 Hollywood Blvd, Suite 424, Hollywood, FL 33021 | 2006-06-16 |
| 1497286454 | Anita Forrest | Pharmacist | 3251 Hollywood Blvd, Hollywood, FL 33021 | 2017-03-22 |
| 1801268065 | Kwok-chung Chan | Pharmacist | 3251 Hollywood Blvd, Hollywood, FL 33021-3690 | 2015-10-28 |
| 1881620953 | Patrice T Olopai | Audiologist | 3251 Hollywood Blvd, Ste 424, Hollywood, FL 33021 | 2006-06-23 |
| 1588609309 | Robin Cheren Siff | Audiologist | 3251 Hollywood Blvd, Suite 424, Hollywood, FL 33021 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528689015 | Water Lilly Pharmacy LLC | Pharmacy | 3700 Washington St Ste 206, Hollywood, FL 33021-8249 | 2020-05-06 |
| 1700252939 | Bolluk Pharmacy Corp | Pharmacy | 7120 Stirling Rd, Hollywood, FL 33024-1650 | 2015-08-11 |
| 1578994257 | Sky Pharmacy and Discount Corp | Pharmacy | 2414 Sheridan St, Hollywood, FL 33020-2064 | 2013-12-06 |
| 1134437403 | Emerald Hills Pharmacy LLC | Pharmacy | 3000 Stirling Rd, Ste 120, Hollywood, FL 33021-2069 | 2010-09-20 |
| 1871743310 | Infupharma | Pharmacy | 2013 Harding St, Hollywood, FL 33020-2714 | 2008-09-21 |
| 1003083569 | White Orchid Pharmacy Inc | Pharmacy | 2328b Hollywood Blvd, Hollywood, FL 33020-1201 | 2008-05-14 |
| 1396837407 | Broward Pharmacy & Discount Store Inc | Pharmacy | 2323 N 60 Avenue, Hollywood, FL 33021 | 2006-09-28 |
| 1770687758 | Holiday Cvs LLC | Pharmacy | 6665 Taft St, Hollywood, FL 33024-4010 | 2006-09-12 |
| 1285738146 | Holiday Cvs LLC | Pharmacy | 4599 Sheridan St, Hollywood, FL 33021-3515 | 2006-09-12 |
| 1336243203 | Holiday Cvs LLC | Pharmacy | 901 N Federal Hwy, Hollywood, FL 33020-3537 | 2006-09-12 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.